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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E14 | F9 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 28, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Apr 28, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jun 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| May 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 14, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Nov 29, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E14 | F9 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 28, 2026 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 30, 2026 | |
| Apr 28, 2026 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 30, 2026 | |
| Apr 28, 2026 | K-0324 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 10 facilities.
38 facilities in 2 states. CMS chain ID 425.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Decatur Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Decatur Hospital Authority | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2025 |
| Douglas Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Feb 11, 2025 |
| Steven Boulware | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Feb 12, 2025 |
| Pmg Opco Decatur LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Dfw Nursing & Rehab 900 W Leuda St, Fort Worth, TX 76104 CCN 455881SFF CandidateAbuse icon | 98 | Feb 4, 2026 | 9310 IJ3 harm |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Homestead of Denison 1101 Reba Mcentire Lane, Denison, TX 75020 CCN 675212 | 140 | Jul 19, 2026 | 362 IJ | $30k | |
| Victoria Gardens of Frisco 10700 Rolater Dr., Frisco, TX 75035 CCN 675811 | 118 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Hills Nursing & Rehabilitation 201 East Thompson Street, Decatur, TX 76234 CCN 676004 | 1.1 km | 110 | Aug 19, 2026 | 416 IJ1 open | $55k | |
| Heritage Place of Decatur 605 W Mulberry St, Decatur, TX 76234 CCN 675513 | 2.8 km | 60 | Feb 27, 2026 | 26 | — | |
| Bridgeport Medical Lodge 2108 15th St, Bridgeport, TX 76426 CCN 675891Abuse icon | 14.5 km | 152 | Aug 6, 2026 | 231 IJ1 harm2 open | $25k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676209 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676209 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected May 30, 2026 |
| Apr 28, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2026 |
| Apr 28, 2026 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2026 |
| Apr 28, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2026 |
| Apr 28, 2026 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2026 |
| Apr 28, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2026 |
| Apr 28, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 30, 2026 |
| Jun 25, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 25, 2025 | Complaint |
| Feb 6, 2025 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 6, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 6, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 6, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 6, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Feb 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| May 10, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2024 | Complaint |
| Apr 17, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 13, 2024 | Complaint |
| Dec 14, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 20, 2024 |
| Dec 14, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 20, 2024 |
| Dec 14, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 20, 2024 |
| Dec 14, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 20, 2024 |
| Dec 14, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 20, 2024 |
| Dec 14, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Nov 29, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 9, 2023 | Complaint |
| Oct 11, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Aug 28, 2023 | Complaint |
| Oct 11, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 31, 2023 | Complaint |
| Oct 11, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 12, 2023 | Complaint |
| Oct 11, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 12, 2023 | Complaint |
| Oct 11, 2023 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Nov 10, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.69 (case-mix index 1.64).
| Mar 1, 2025 |
| William Bauder | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Brian Scroggins | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2025 |
| Caretrust Reit Inc | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Mar 1, 2025 |
| Ctr Partnership LP | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Mar 1, 2025 |
| Bridgepointe Finanical Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Caretrust Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Innovative Nurse Consulting, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Pmg Opco Decatur LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 11, 2025 |
| Priority Management Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Progressive Rehab Solutions, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| John Pinegar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| John Richardson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| $317k |
| Midwestern Healthcare Center 601 Midwestern Pkwy, Wichita Falls, TX 76302 CCN 675128 | 121 | Feb 10, 2026 | 373 IJ | $30k |
| Pecan Tree Rehab and Healthcare Center 1900 E California St, Gainesville, TX 76240 CCN 675550 | 122 | May 12, 2026 | 342 IJ | $17k |
| Cityview Nursing and Rehabilitation Center 5801 Bryant Irvin Rd, Fort Worth, TX 76132 CCN 675622 | 210 | Aug 25, 2026 | 674 IJ2 harm | $250k |
| Bridgeport Medical Lodge 2108 15th St, Bridgeport, TX 76426 CCN 675891Abuse icon | 152 | Aug 6, 2026 | 231 IJ1 harm2 open | $25k |
| Ridgmar Medical Lodge 6600 Lands End Court, Fort Worth, TX 76116 CCN 676101 | 155 | Jul 23, 2026 | 433 IJ1 harm1 open | $30k |
| Grapevine Medical Lodge 1005 Ira E. Woods Parkway, Grapevine, TX 76051 CCN 676104 | 132 | Jun 18, 2026 | 23 | — |
| Mansfield Medical Lodge 301 N Miller Rd, Mansfield, TX 76063 CCN 676143 | 118 | Dec 11, 2025 | 26 | $6,032 |
| Jul 9, 2026 |
422 IJ |
| $24k |
| Victoria Gardens of Allen 310 S. Jupiter, Allen, TX 75002 CCN 675882 | 120 | Jun 28, 2026 | 36 | — |
| Bridgeport Medical Lodge 2108 15th St, Bridgeport, TX 76426 CCN 675891Abuse icon | 152 | Aug 6, 2026 | 231 IJ1 harm2 open | $25k |
| Hilltop Park Rehabilitation and Care Center 970 Hilltop Dr, Weatherford, TX 76086 CCN 675988 | 132 | Mar 17, 2026 | 362 IJ | $103k |
| Vista Ridge Nursing & Rehabilitation Center 700 E Vista Ridge Mall Dr, Lewisville, TX 75067 CCN 676036 | 132 | Aug 11, 2026 | 341 IJ | $10k |
| The Parks at Garland Healthcare and Rehab 3737 N Garland Ave., Garland, TX 75044 CCN 676039 | 132 | Apr 10, 2026 | 221 IJ | $10k |
| Ridgmar Medical Lodge 6600 Lands End Court, Fort Worth, TX 76116 CCN 676101 | 155 | Jul 23, 2026 | 433 IJ1 harm1 open | $30k |